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BRISTOL FAMILY DENTAL, P.C.

Company Details

Entity Name: BRISTOL FAMILY DENTAL, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 06 Dec 2013 (Companies founded in December 2013)
Business ALEI: 1126092
Annual report due: 06 Dec 2025
NAICS code: 621210 - Offices of Dentists
Business address: 815 PINE STREET, BRISTOL, CT, 06010, United States
Mailing address: 815 PINE STREET, BRISTOL, CT, United States, 06010
ZIP code: 06010 (Companies in Hartford, 06010)
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 1000
E-Mail: kprl2@yahoo.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRISTOL FAMILY DENTAL, P. C. 401(K) PROFIT SHARING PLAN 2023 464352006 2024-07-05 BRISTOL FAMILY DENTAL, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8605892794
Plan sponsor’s address 815 PINE STREET, BRISTOL, CT, 06010

Signature of
Role Plan administrator
Date 2024-07-05
Name of individual signing ROSS KATKOWSKI
Valid signature Filed with authorized/valid electronic signature
BRISTOL FAMILY DENTAL, P. C. 401(K) PROFIT SHARING PLAN 2022 464352006 2023-10-01 BRISTOL FAMILY DENTAL, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8605892794
Plan sponsor’s address 815 PINE STREET, BRISTOL, CT, 06010

Signature of
Role Plan administrator
Date 2023-10-01
Name of individual signing ROSS KATKOWSKI
Valid signature Filed with authorized/valid electronic signature
BRISTOL FAMILY DENTAL, P. C. 401(K) PROFIT SHARING PLAN 2021 464352006 2022-07-18 BRISTOL FAMILY DENTAL, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8605892794
Plan sponsor’s address 815 PINE STREET, BRISTOL, CT, 06010

Signature of
Role Plan administrator
Date 2022-07-18
Name of individual signing ROSS KATKOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-18
Name of individual signing ROSS KATKOWSKI
Valid signature Filed with authorized/valid electronic signature
BRISTOL FAMILY DENTAL, P. C. 401(K) PROFIT SHARING PLAN 2020 464352006 2021-10-12 BRISTOL FAMILY DENTAL, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8605892794
Plan sponsor’s address 4 MORRIS AVENUE, BRISTOL, CT, 06010

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing ROSS KATKOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing ROSS KATKOWSKI
Valid signature Filed with authorized/valid electronic signature
BRISTOL FAMILY DENTAL, P. C. 401(K) PROFIT SHARING PLAN 2019 464352006 2021-10-22 BRISTOL FAMILY DENTAL, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8605892794
Plan sponsor’s address 4 MORRIS AVENUE, BRISTOL, CT, 06010

Signature of
Role Plan administrator
Date 2021-10-22
Name of individual signing ROSS KATKOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-22
Name of individual signing ROSS KATKOWSKI
Valid signature Filed with authorized/valid electronic signature
BRISTOL FAMILY DENTAL, P. C. 401(K) PROFIT SHARING PLAN 2019 464352006 2020-06-22 BRISTOL FAMILY DENTAL, P.C. 12
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8605892794
Plan sponsor’s address 4 MORRIS AVENUE, BRISTOL, CT, 06010

Signature of
Role Plan administrator
Date 2020-06-22
Name of individual signing ROSS KATKOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-22
Name of individual signing ROSS KATKOWSKI
Valid signature Filed with authorized/valid electronic signature
BRISTOL FAMILY DENTAL, P. C. 401(K) PROFIT SHARING PLAN 2018 464352006 2019-06-04 BRISTOL FAMILY DENTAL, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8605892794
Plan sponsor’s address 4 MORRIS AVENUE, BRISTOL, CT, 06010

Signature of
Role Plan administrator
Date 2019-06-04
Name of individual signing ROSS KATKOWSKI
Valid signature Filed with authorized/valid electronic signature
BRISTOL FAMILY DENTAL, P. C. 401(K) PROFIT SHARING PLAN 2017 464352006 2018-07-31 BRISTOL FAMILY DENTAL, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8605892794
Plan sponsor’s address 4 MORRIS AVENUE, BRISTOL, CT, 06010

Signature of
Role Plan administrator
Date 2018-07-31
Name of individual signing ROSS KATKOWSKI
Valid signature Filed with authorized/valid electronic signature
BRISTOL FAMILY DENTAL, P. C. 401(K) PROFIT SHARING PLAN 2016 464352006 2017-08-28 BRISTOL FAMILY DENTAL, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8605892794
Plan sponsor’s address 4 MORRIS AVENUE, BRISTOL, CT, 06010

Signature of
Role Plan administrator
Date 2017-08-28
Name of individual signing ROSS KATKOWSKI
Valid signature Filed with authorized/valid electronic signature
BRISTOL FAMILY DENTAL, P. C. 401(K) PROFIT SHARING PLAN 2015 464352006 2016-07-19 BRISTOL FAMILY DENTAL, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8605892794
Plan sponsor’s address 4 MORRIS AVENUE, BRISTOL, CT, 06010

Signature of
Role Plan administrator
Date 2016-07-19
Name of individual signing ROSS KATKOWSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
ROSS KATKOWSKI DMD Agent 815 PINE STREET, BRISTOL, CT, 06010, United States 815 PINE STREET, BRISTOL, CT, 06010, United States +1 860-589-2794 kprl2@yahoo.com 44 PRINCETON LANE, GLASTONBURY, CT, 06033, United States

Officer

Name Role Business address Residence address
ROSS KATKOWSKI Officer 815 Pine Street, BRISTOL, CT, 06010, United States 44 PRINCETON LN, GLASTONBURY, CT, 06033, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012330608 2024-11-06 No data Annual Report Annual Report No data
BF-0011314627 2023-11-10 No data Annual Report Annual Report No data
BF-0010311836 2022-11-07 No data Annual Report Annual Report 2022
BF-0009829352 2021-11-10 No data Annual Report Annual Report No data
0007019587 2020-11-16 No data Annual Report Annual Report 2020
0006744595 2020-02-06 No data Annual Report Annual Report 2019
0006282272 2018-11-26 No data Annual Report Annual Report 2018
0005979524 2017-12-05 No data Annual Report Annual Report 2017
0005705970 2016-11-29 No data Annual Report Annual Report 2015
0005705976 2016-11-29 No data Annual Report Annual Report 2016

Related by officers

No related officers

Related by address

815 PINE STREET, BRISTOL, CT, 06010, United States

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WHIZ KIDS DAY CARE, INC.

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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